| NPI | 1497178081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEBA JILANI SHAH Owner/Manager 949-307-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: AZ 47193) |
| Enumeration Date | 2014-02-02 |
| Last Update Date | 2014-05-19 |